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Ergotherapie - Repository of the LBI-HTA - Ludwig Boltzmann ...

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Ergebnisse der systematischen Reviews der American Occupational Therapy Association<br />

Tabelle 4.2-2: Review “Perception”: SR-Evidence for Interventions That Aim to Change Perceptual Abilities <strong>of</strong> People With Alzheimer’s Disease and Related Dementias<br />

Author/Year Study Objectives Design/ Participants<br />

Intervention and Outcomes<br />

Measure<br />

Results<br />

Study Limitations<br />

Chung & Lai (2002) 73<br />

To review <strong>the</strong> clinical efficiency<br />

<strong>of</strong> Snoezelen for older<br />

people with dementia.<br />

SR<br />

N=2 RCTs: 261<br />

2 RCTs<br />

Baker (2003): N=136<br />

van Weert (2005): N=125<br />

Intervention<br />

Snoezelen interventions<br />

Outcome Measures<br />

Behaviours, mood<br />

No differences between<br />

groups were found on most<br />

outcomes.<br />

Limited evidence was available;<br />

meta-analyses could not<br />

be conducted.<br />

AD= Alzheimer’s Disease; ADLs = activities <strong>of</strong> daily living; RCT = randomized controlled trial, SR = systematic review<br />

Source: taken with adaptations from Suppl. Table 2, Letts (2011a)<br />

Tabelle 4.2-3: Review “Perception”: RCT-Evidence for Interventions That Aim to Change Perceptual Abilities <strong>of</strong> People With Alzheimer’s Disease and Related Dementias<br />

Author/Year<br />

Inpatient/ or Outpatient<br />

Study Objectives<br />

Design/ Participants<br />

Intervention and Outcomes Measure<br />

Results<br />

Study Limitations<br />

Baillon et al. (2004)<br />

also reported in Baillon et<br />

al. (2005)<br />

BOTH IN- and OUTPA-<br />

TIENT<br />

To assess <strong>the</strong> effects <strong>of</strong><br />

Snoezelen on agitated behaviour<br />

<strong>of</strong> people with AD.<br />

RCT<br />

N=25<br />

recruited from three purpose<br />

built units providing<br />

inpatient and day care facilities<br />

for <strong>the</strong> care <strong>of</strong> older<br />

people with mental health<br />

problems<br />

Intervention<br />

Snoezelen intervention by trained<br />

staff in 3 sessions, each lasting 40<br />

min, over 2 wk<br />

Control<br />

Alternative OT-intervention<br />

(reminiscence intervention by<br />

trained staff in 3 sessions, each lasting<br />

40 min, over 2 wk)<br />

Outcome Measures<br />

Agitation, heart rate, mood<br />

No statistically significant<br />

difference was found between<br />

Snoezelen and reminiscence<br />

interventions in agitation<br />

from pretreatment to<br />

immediately or 15 min posttreatment.<br />

No significant differences<br />

were found in mood<br />

ratings (positive or negative).<br />

A small sample was used;<br />

sample selection bias is possible.<br />

Only immediate effects<br />

were evaluated.<br />

73 Cochrane Review: New search for studies and content updated (no change to conclusions), published in Issue 1, 2009, review content assessed as up-to-date: 21 April 2008.<br />

<strong>LBI</strong>-<strong>HTA</strong> | 2012 37

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